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Activation of adaptive immunity is required for initiation of innate immune


reactions

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IgG antibodies predominate in typical secondary humoral responses

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"The antigen combining site of an antibody will typically be made up of VL, VH,
and carbohydrate "

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The innate immune response is activated by pattern recognition of PAMPs


expressed on invading pathogens.

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The apative immune system mainly consists of T and B lymphocytes and works
by clonal selection.

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C5a is a complement component which is strongly chemotactic for neutrophils.

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NK cells kill the target cells in an extracellular fashion.

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NK cells kill target cells by phagocytosis and intracellular digestion.

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Lymphocytes in the lamina propria secrete large amounts of IgA.

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The major cell type in the paracortical area of a lymph node is T lymphocyte.

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"M cells are specialized cells located in the follicle-associated epithelium of the
Peyer's patch which selectively take up Ag, and transport Ag to intraepithelial
macrophages and lymphocytes. "

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129

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Maturation of T cells in the thymus requires the presence of foreign antigen.

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CD3 is a major marker retained on all peripheral T cells.

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The B cell development in bone marrow does not require foreign antigen.

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B-lymphocytes can act as antigen-presenting cells (APCs).

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Mature B cells expresses IgM and IgD.

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Pro-B cells does not express CD79a/CD79b.

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B-2 cells are the major B-cell type in the peritoneum.

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The majority antibodies that B-1 cells produce are IgM.


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Cytokines can not be produced by non-immune cells.

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Some type I cytokine receptors share a common subunit.

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Cytokines can only bind to neighbor cell receptor or self receptor.

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One type of cytokines can only be produced by one type of cells.

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CD3 is the important signaling molecule for B cell activation.

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CD19 is one of the components of B cell co-receptor.

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Memory B cells are long-lived low-proliferating cells.

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CD28 is the second signaling molecule for B cell activation.

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CD32 could enhance the signaling by the BCR complex.

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CD21 could enhance B cell activation signal significantly.

147

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Somatic hypermutation refer to point mutations of CH or CL gene.

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Somatic hypermutation has no influence on specificity and affinity of BCR.

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Plasma cells express BCR and MHC- molecule.

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"Compared with primary immune responses, secondary immune responses need


lower concentrations of Ag stimulation."

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T lymphocytes can recognize antigen in solution.

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B lymphocytes belong to professional antigen-presenting cells

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MHC molecules are expressed on T lymphocytes.

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Endothelial cells are non-professional antigen-presenting cells.

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Macrophages are most potent antigen-presenting cells


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Langerhans cells are dendritic cell located in skin

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MHC-I molecule present endogenous antigens to CD8+ T cells

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MHC-II molecule present exogenous antigens to CD4+ T cells

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The activation of CD4 T cells could cause death of target cells.

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The activation of CD8 T cells could cause upregulation of immune responses.

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Immune system responds in distinct way to different antigen.

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Immunoregulation is antigen specific.

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Lack of co-stimulation can lead to the passive death of activated T cell.

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CTLA4 engagement inhibits activated T cells by competing for B7 (CD80/CD86).

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Neuroendocrine system is not involved in the immunoregulation.

166

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IFN- secreted by Th1 cells promotes further Th2 differentiation and inhibits the
proliferation of Th1 cells.

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167

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Certain antigens given subcutaneously or intramuscularly may be more


immunogenic than when given intravenously or intraperitoneally.

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Large doses are needed for tolerance in adults compared neonates.

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Tolerance is easier to achieve before birth or in early neonatal life.

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Elimination of antigen leads to spontaneously termination of immunotolerance.

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FK506 inhibits IL-12 production.

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HLA-G involves in the fetal transplantation

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Transplants from parents to siblings have a 50% match of HLA alleles

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Sibling to sibling grafts have a 50% chance of having identical HLA alleles.

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Cornea transplants can usually be accepted.

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Type-III hypersensitivity is also called delayed-type hypersensitivity.

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Serum sickness is a kind of type-II hypersensitivity.

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The effector phase of allergic reaction includes acute phase and late phase
reaction.

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The clinical signs of localized allergic reactions depends on portal of entry.

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Type-II hypersensitivity reaction is often the combined activities of complement


and antibodies.

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Drug-induced hemolytic anemia is a kind of type- III hypersensitivity.

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182

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Incompatible blood transfusion would lead to the occurrence of type-IV


hypersensitivity.

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The mechanism of Graves disease is type- III hypersensitivity.

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Type-III hypersensitivity can cause both localized and systemic reactions.

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Intracellular pathogens and contact antigens could cause delayed-type


hypersensitivity.

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No auto-antibody is present in healthy people.

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Women have a greater risk in development of all autoimmune diseases than men.

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Autoimmune diseases are often associated with pathogen infection

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Auto-antigens are often high-conserved proteins.

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Deficiency in complement components might lead to auto-immune diseases.

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Antigens sequestered in hidden locations might become auto-antigens

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The pathogenesis of autoimmune diseases are associated with all type


hypersenstivities.

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Infant might suffer from Grave's disease due to the auto-antibody against TSHR
derived from mother.

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Rheumatoid arthritis is an organ specific autoimmune diseases

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Some autoimmune diseases are closely associated with MHC genotype.

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